Individual
JEFF JAKLITSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 BAKER BLVD STE 6A, FAIRLAWN, OH 44333-3603
(330) 818-7474
(330) 869-6366
Mailing address
50 BAKER BLVD STE 6A, FAIRLAWN, OH 44333-3603
(330) 818-7474
(330) 869-6366
Taxonomy
Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
Primary
RP902497
OH
Other
Enumeration date
04/17/2011
Last updated
04/17/2011
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